儿童意外伤害影响因素研究进展

目的了解上海市杨浦区中小学生伤害发生现况，为开展防控和干预措施提供依据。方法对2014—2016学年杨浦区全区中小学校学生伤害个案进行分析。结果2014—2016学年，杨浦区中小学校伤害发生率是4.08‰，男女生伤害发生率分别是5.47‰和2.60‰，小学生和中学生的伤害发生率分别是3.11‰和5.15‰，男女生间和中小学生间的差异均具有统计学意义(均P < 0.05)，各学年间的伤害发生率具有统计学差异；伤害发生的场所主要是学校，占73%；伤害发生的时间在24 h内的分布，集中在10：00和14：00—15：00；伤害发生原因跌落/跌倒比例最高，占66.7%；伤害发生性质，骨折占62.4%；伤害发生的部位中，腕/手(26.4%)和踝/足(26.4%)的比例最高。结论结合学生伤害发生的特点，对不同性别，不同类型学校学生应开展针对性的防控和干预措施，以有效地控制伤害的发生。

Interventions to prevent unintentional injuries among adolescents:a systematic review and meta-analysis

ObjectiveTo investigate the current situation of injury occurring in Yangpu District and provide the basis for prevention and control and intervention measures.MethodsThe students′ injury cases were analyzed in whole Yangpu District from 2014 to 2016.ResultsFrom 2014 to 2016, the incidence of injury in primary and secondary schools in Yangpu District was 4.08‰, and the incidence of injuries with male and female was 5.47‰ and 2.60‰ respectively.The incidence of injuries among primary and middle school students was 3.11‰ and 5.15‰ respectively.The differences in incidence between male and female students were statistically significant and also between middle and primary school students.73% of injury occurred mainly in schools.The injuries occurred mainly at 10am and 2pm to 3pm.The highest cause of injury was dropping/falling, accounting for 66.7%.As to the nature of injuries, fracture accounted for 62.4%;and among the sites of injuries, the proportions of wrist or hand (26.4%) and ankle or foot (26.4%) were the highest.ConclusionIn combination with the characteristics of the students who have been injured, targeted prevention and intervention should be carried out for students of different types of schools so as to reduce the incidence of injuries more effectively.